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Organization

COMMUNITY BEHAVIORAL MANAGEMENT,INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LIDICE GISEL CARRILLO BS,FMD (TARGETED CASE MANAGER/PRESIDENT)
(786) 230-5396
Entity
Organization

Contact information

Practice address
3 SW 129TH AVE STE 203, PEMBROKE PINES, FL 33027-1779
(786) 230-5396
(786) 431-1491
Mailing address
9440 NW 35TH CT, MIAMI, FL 33147-2730
(786) 230-5396
(786) 431-1491

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
251B00000X
Case Management Agency
Primary
251S00000X
Community/Behavioral Health Agency

Other

Enumeration date
10/07/2012
Last updated
02/19/2022
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